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Jonathan D Clark, PA-C
Surgical Physician Assistant in Muskogee, Oklahoma
NPI 1811308240

Jonathan D Clark is a Surgical Physician Assistant based in Bixby, OK and is specialized in Surgical. Jonathan D Clark practices in Muskogee, OK and has the professional credentials of PA-C. The NPI Number for Jonathan D Clark is 1811308240 and holds a License No. 3141 (Oklahoma).

The current practice location address for Jonathan D Clark is 1011 Honor Heights Dr, Muskogee, OK and can be reached out via phone at 189-577-3000. You can also correspond with Jonathan D Clark through the mailing address at 6731 E 131ST PL S, BIXBY, OK - 74008-3302 (mailing address contact number: 918-605-4122).

Location: 1011 Honor Heights Dr, Muskogee, OK, 74008-3302
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Provider Profile Details
NPI Number
1811308240
Provider Name
Jonathan D Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1011 Honor Heights Dr, Muskogee, OK, 74008-3302
Phone Number
189-577-3000
Fax Number
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1169860 01 NCCPA
3141 01 OK OKLAHOMA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1011 Honor Heights Dr
City
State
Zip
74401-1318
Phone Number
189-577-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1011 Honor Heights Dr
City
State
Zip
74401-1318
Phone Number
189-577-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3141 (Oklahoma)
Definition
Definition to come...
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